National Climate Centre

Cli - Manage 2000

Registration Form

PERSONAL DETAILS
Title (Dr/Mr/Mrs/Ms) First Name
Surname Position
Organisation
Address
Town/Suburb/City State
Country Post Code
Telephone Fax
E-Mail
What industry do you represent? e.g. wool, horticulture.
Any special dietary requirements?

REGISTRATION FEES
Registration Fee $200  prior to 31st August 2000 (includes dinner and  conference report)
$300 for late registrations
( All prices quoted are GST inclusive )

PAYMENTS

Method of Payment:-  Cheque  OR  Credit Card  (Please tick the box)
Cheque No:
Please debit my credit card: BANKCARD MASTERCARD VISA AMEX
Card Number:
Card Holder's Name        Expiry Date: /
Sum of Payment :
Signature:     Date:

Cheques to be made payable to  Bureau of Meteorology

L.Sampson
National Climate Centre
Bureau of Meteorology
GPO Box 1289K
Melbourne Vic 3001.

Note: Allow a few working days for your registration to be processed.